The Arrangement of Health Insurance Administration

Abstract

The aim of the research explained about the arrangement of health insurance administration for BPJS Kesehatan participant in health service. The phenomenon that appeared in health insurance administration had many problems and complain from BPJS Kesehatan participants. The problems were how the arrangement of health insurance administration for BPJS Kesehatan participants. The research method that used was qualitative research with purposive technique then the data validity was analysis and tested. The research result showed the arrangement of health insurance administration in giving health service for BPJS Kesehatan participants were based cooperation, where BPJS Kesehatan assaign and payed to RSD dr. Soebandi that giving service to BPJS Kesehatan participants. The novelty was required claim at RSD dr. Soebandi for getting payment from BPJS Kesehatan, and then RSD dr. Soebandi received payment from BPJS Kesehatan.